Group B Streptococcus Bacteremia Mimicking Synovitis, Acne, Pustulosis, Hyperostosis, and Osteitis (SAPHO) Syndrome

Group B Streptococcus (GBS) causes septic arthritis in healthy adults, and a significant number of GBS septic arthritis cases involve multiple joints. Nevertheless, septic arthritis is commonly monoarticular. Here, we report a case of a 45-year-old man who complained of subacute fever and right shou...

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Autores principales: Fukuzawa, Fumitoshi, Uehara, Takanori, Yamashita, Shiho, Hayashi, Yasushi, Ikusaka, Masatomi
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2022
Materias:
Family/General Practice
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9421099/
https://www.ncbi.nlm.nih.gov/pubmed/36060405
http://dx.doi.org/10.7759/cureus.27468
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author Fukuzawa, Fumitoshi
Uehara, Takanori
Yamashita, Shiho
Hayashi, Yasushi
Ikusaka, Masatomi
author_facet Fukuzawa, Fumitoshi
Uehara, Takanori
Yamashita, Shiho
Hayashi, Yasushi
Ikusaka, Masatomi
author_sort Fukuzawa, Fumitoshi
collection PubMed
description Group B Streptococcus (GBS) causes septic arthritis in healthy adults, and a significant number of GBS septic arthritis cases involve multiple joints. Nevertheless, septic arthritis is commonly monoarticular. Here, we report a case of a 45-year-old man who complained of subacute fever and right shoulder and right buttock pain for three weeks despite undergoing garenoxacin treatment for one week. Although synovitis, acne, pustulosis, hyperostosis, and osteitis (SAPHO) syndrome could be a possible differential diagnosis for this patient, the fever and subacute clinical course could not be explained. Blood cultures revealed the presence of GBS; therefore, he was diagnosed with septic arthritis. After antibiotic treatment for six weeks, his symptoms resolved.
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spelling pubmed-94210992022-09-01 Group B Streptococcus Bacteremia Mimicking Synovitis, Acne, Pustulosis, Hyperostosis, and Osteitis (SAPHO) Syndrome Fukuzawa, Fumitoshi Uehara, Takanori Yamashita, Shiho Hayashi, Yasushi Ikusaka, Masatomi Cureus Family/General Practice Group B Streptococcus (GBS) causes septic arthritis in healthy adults, and a significant number of GBS septic arthritis cases involve multiple joints. Nevertheless, septic arthritis is commonly monoarticular. Here, we report a case of a 45-year-old man who complained of subacute fever and right shoulder and right buttock pain for three weeks despite undergoing garenoxacin treatment for one week. Although synovitis, acne, pustulosis, hyperostosis, and osteitis (SAPHO) syndrome could be a possible differential diagnosis for this patient, the fever and subacute clinical course could not be explained. Blood cultures revealed the presence of GBS; therefore, he was diagnosed with septic arthritis. After antibiotic treatment for six weeks, his symptoms resolved. Cureus 2022-07-29 /pmc/articles/PMC9421099/ /pubmed/36060405 http://dx.doi.org/10.7759/cureus.27468 Text en Copyright © 2022, Fukuzawa et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Family/General Practice
Fukuzawa, Fumitoshi
Uehara, Takanori
Yamashita, Shiho
Hayashi, Yasushi
Ikusaka, Masatomi
Group B Streptococcus Bacteremia Mimicking Synovitis, Acne, Pustulosis, Hyperostosis, and Osteitis (SAPHO) Syndrome
title Group B Streptococcus Bacteremia Mimicking Synovitis, Acne, Pustulosis, Hyperostosis, and Osteitis (SAPHO) Syndrome
title_full Group B Streptococcus Bacteremia Mimicking Synovitis, Acne, Pustulosis, Hyperostosis, and Osteitis (SAPHO) Syndrome
title_fullStr Group B Streptococcus Bacteremia Mimicking Synovitis, Acne, Pustulosis, Hyperostosis, and Osteitis (SAPHO) Syndrome
title_full_unstemmed Group B Streptococcus Bacteremia Mimicking Synovitis, Acne, Pustulosis, Hyperostosis, and Osteitis (SAPHO) Syndrome
title_short Group B Streptococcus Bacteremia Mimicking Synovitis, Acne, Pustulosis, Hyperostosis, and Osteitis (SAPHO) Syndrome
title_sort group b streptococcus bacteremia mimicking synovitis, acne, pustulosis, hyperostosis, and osteitis (sapho) syndrome
topic Family/General Practice
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9421099/
https://www.ncbi.nlm.nih.gov/pubmed/36060405
http://dx.doi.org/10.7759/cureus.27468
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